Gastrointestinal, Emerging and Zoonotic Infection Department, Health Protection Services Colindale, Health Protection Agency, London, UK.
Epidemiol Infect. 2013 Jan;141(1):36-44. doi: 10.1017/S095026881200026X. Epub 2012 Mar 12.
To identify which medications were most commonly taken by non-pregnancy-related listeriosis patients prior to illness, we compared the medications reported by 512 cases identified via national surveillance in England between 2007 and 2009 with national prescription data, using British National Formulary (BNF) coding. Relative risks and corresponding confidence intervals were calculated, as appropriate, for BNF chapters and sections. Among listeriosis cases, the rates for cytotoxic drugs, drugs affecting the immune response and corticosteroids were significantly higher than for other medications. However, interactions between medications and how medications might confound or be confounded by concurrent medical conditions need to be investigated further. Nevertheless our findings suggest that targeting food-safety advice to prevent this foodborne disease in certain treatment groups is warranted.
为了确定非妊娠相关性李斯特菌病患者在发病前最常服用的药物,我们比较了通过英国 2007 年至 2009 年国家监测发现的 512 例病例报告的药物与国家处方数据,使用英国国家处方集(BNF)编码。对于 BNF 章节和部分,适当计算了相对风险和相应的置信区间。在李斯特菌病病例中,细胞毒性药物、影响免疫反应的药物和皮质类固醇的使用率明显高于其他药物。然而,需要进一步研究药物之间的相互作用以及药物如何因并发疾病而受到干扰或被其干扰。尽管如此,我们的研究结果表明,有必要针对某些治疗群体,通过食品安全建议来预防这种食源性疾病。